ATI Med Surg level 2 exam with updated
questions and correct answers.graded
A+
A nurse is caring for client who is experiencing supraventricular tachycardia. Upon assessing the client,
the nurse observes the following findings: heart rate 200/min, blood pressure 78/40 mm Hg, and
respiratory rate 30/min. Which of the following actions should then nurse take?
a. Defibrillate the client's heart.
b. Perform synchronized cardioversion.
c. Begin cardiopulmonary resuscitation.
d. Administer lidocaine IV bolus.
- answer -b. Perform synchronized cardioversion.
The nurse should perform synchronized cardioversion for a client who has supraventricular tachycardia.
What rhythms are shockable? (defibrillation)
- answer -ventricular fibrillation and pulseless ventricular tachycarida
What dysrhythmia are amiodarone and lidocaine indicated for?
- answer -ventricular arrhythmias
The nurse should initiate CPR for a client who what?
- answer -is pulseless or not breathing
A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion. Which of
the following medications should the nurse instruct the client to withhold for 48 hr prior to
cardioversion?
,A. Enoxaparin
B. Metformin
C. Diazepam
D. Digoxin
- answer -D. digoxin
Cardiac glycosides, such as digoxin, are withheld prior to cardioversion. These medications can increase
ventricular irritability and put the client at risk for ventricular fibrillation after the synchronized
countershock of cardioversion
_______ are usually given prior to cardioversion to reduce anxiety and minimize discomfort with the
procedure.
- answer -Sedatives like diazepam
Metformin is held before what kind of procedures? Example? Why?
- answer -Ones that involve contrast dye like cardiac catheterization, in order to prevent kidney
damage.
__________ prevent blood clots that can be released into the circulatory system after cardioversion.
- answer -Anticoagulants like enoxaparin
What kind of drugs are withheld prior to cardioversion?
- answer -cardiac glycosides like digoxin
exopthalmosis - answer -condition produced by hyperthyroidism in which the eyeballs protrude beyond
their normal protective orbit because of swelling in the tissues behind them
entropion
- answer -the inversion of the edge of an eyelid
,ectropion –
answer -the eversion of the edge of an eyelid
ptosis
- answer -drooping
A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The client
appears anxious and restless, and the high-pressure alarm is sounding. Which of the following actions
should the nurse take first?
A. Obtain ABGs.
B. Administer propofol to the client.
C. Instruct the client to allow the machine to breathe for them.
D. Disconnect the machine and manually ventilate the client.
- answer -C. Instruct the client to allow the machine to breathe for them. When providing client care,
the nurse should first use the least restrictive intervention. Therefore, the first action the nurse should
take is to provide verbal instructions and emotional support to help the client relax and allow the
ventilator to work. Clients can exhibit anxiety and restlessness when trying to "fight the ventilator."
A nurse is caring for a client who has a potassium level of 3. Which of the following assessment findings
should the nurse expect?
A. Positive Trousseau's sign
B. 4+ deep tendon reflexes
C. Deep respirations
D. Hypoactive bowel sounds
- answer -D. Hypoactive bowel sounds
Deep tendon reflexes are used to monitor what electrolyte level?
- answer -magnesium
What kind of respirations occur with hypokalemia and why?
- answer -shallow respirations due to respiratory muscle weakness
, Trosseau's sign evaluates for what electrolyte imbalances?
- answer -hypocalcelmia and hypomagnesemia
What is hypokalemia's effect on the GI system?
- answer -It decreases smooth muscle contraction leading to decreased peristalsis and hypoactive bowel
sounds.
Deep tendon reflexes in hypomagnesemia
- answer -increased e.g. 4+
Deep tendon reflexes in hypermagnesemia
- answer -decreased e.g. absent or 1+
What should be done if you are performing a cardiac assessment on a client and you hear a murmur?
- answer -Listen with the client on their left side so it can be heard more clearly
A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV contrast
agent. The nurse should identify that which of the following findings requires further assessment?
A. History of asthma
B. Appendectomy 1 year ago
C. Penicillin allergy
D. Total knee arthroplasty 6 months ago
- answer -A. History of asthma
A client who has a history of asthma has a greater risk of reacting to the contrast dye used during the
procedure. Other conditions that can result in a reaction to contrast media include allergies to foods,
such as shellfish, eggs, milk, and chocolate.
questions and correct answers.graded
A+
A nurse is caring for client who is experiencing supraventricular tachycardia. Upon assessing the client,
the nurse observes the following findings: heart rate 200/min, blood pressure 78/40 mm Hg, and
respiratory rate 30/min. Which of the following actions should then nurse take?
a. Defibrillate the client's heart.
b. Perform synchronized cardioversion.
c. Begin cardiopulmonary resuscitation.
d. Administer lidocaine IV bolus.
- answer -b. Perform synchronized cardioversion.
The nurse should perform synchronized cardioversion for a client who has supraventricular tachycardia.
What rhythms are shockable? (defibrillation)
- answer -ventricular fibrillation and pulseless ventricular tachycarida
What dysrhythmia are amiodarone and lidocaine indicated for?
- answer -ventricular arrhythmias
The nurse should initiate CPR for a client who what?
- answer -is pulseless or not breathing
A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion. Which of
the following medications should the nurse instruct the client to withhold for 48 hr prior to
cardioversion?
,A. Enoxaparin
B. Metformin
C. Diazepam
D. Digoxin
- answer -D. digoxin
Cardiac glycosides, such as digoxin, are withheld prior to cardioversion. These medications can increase
ventricular irritability and put the client at risk for ventricular fibrillation after the synchronized
countershock of cardioversion
_______ are usually given prior to cardioversion to reduce anxiety and minimize discomfort with the
procedure.
- answer -Sedatives like diazepam
Metformin is held before what kind of procedures? Example? Why?
- answer -Ones that involve contrast dye like cardiac catheterization, in order to prevent kidney
damage.
__________ prevent blood clots that can be released into the circulatory system after cardioversion.
- answer -Anticoagulants like enoxaparin
What kind of drugs are withheld prior to cardioversion?
- answer -cardiac glycosides like digoxin
exopthalmosis - answer -condition produced by hyperthyroidism in which the eyeballs protrude beyond
their normal protective orbit because of swelling in the tissues behind them
entropion
- answer -the inversion of the edge of an eyelid
,ectropion –
answer -the eversion of the edge of an eyelid
ptosis
- answer -drooping
A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The client
appears anxious and restless, and the high-pressure alarm is sounding. Which of the following actions
should the nurse take first?
A. Obtain ABGs.
B. Administer propofol to the client.
C. Instruct the client to allow the machine to breathe for them.
D. Disconnect the machine and manually ventilate the client.
- answer -C. Instruct the client to allow the machine to breathe for them. When providing client care,
the nurse should first use the least restrictive intervention. Therefore, the first action the nurse should
take is to provide verbal instructions and emotional support to help the client relax and allow the
ventilator to work. Clients can exhibit anxiety and restlessness when trying to "fight the ventilator."
A nurse is caring for a client who has a potassium level of 3. Which of the following assessment findings
should the nurse expect?
A. Positive Trousseau's sign
B. 4+ deep tendon reflexes
C. Deep respirations
D. Hypoactive bowel sounds
- answer -D. Hypoactive bowel sounds
Deep tendon reflexes are used to monitor what electrolyte level?
- answer -magnesium
What kind of respirations occur with hypokalemia and why?
- answer -shallow respirations due to respiratory muscle weakness
, Trosseau's sign evaluates for what electrolyte imbalances?
- answer -hypocalcelmia and hypomagnesemia
What is hypokalemia's effect on the GI system?
- answer -It decreases smooth muscle contraction leading to decreased peristalsis and hypoactive bowel
sounds.
Deep tendon reflexes in hypomagnesemia
- answer -increased e.g. 4+
Deep tendon reflexes in hypermagnesemia
- answer -decreased e.g. absent or 1+
What should be done if you are performing a cardiac assessment on a client and you hear a murmur?
- answer -Listen with the client on their left side so it can be heard more clearly
A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV contrast
agent. The nurse should identify that which of the following findings requires further assessment?
A. History of asthma
B. Appendectomy 1 year ago
C. Penicillin allergy
D. Total knee arthroplasty 6 months ago
- answer -A. History of asthma
A client who has a history of asthma has a greater risk of reacting to the contrast dye used during the
procedure. Other conditions that can result in a reaction to contrast media include allergies to foods,
such as shellfish, eggs, milk, and chocolate.
